Academy of Managed Care Pharmacy
Director of Quality, Regulatory Affairs and Accreditation
Academy of Managed Care Pharmacy, Chicago, Illinois, United States, 60290
Applicants may apply for this position by submitting a resume/ CV to the following email address:
mgmtrecruit@cookcountyhhs.orgWhen submitting a resume/CV by email, you
must include the job title and posting number in the subject line of your email . An application or resume/CV must be filed for each position which interests you.To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of this posting.Job SummaryUnder the direction of the Chief Quality Officer, directs the strategic management and planning for Joint Commission Accreditation and accreditation related activities for all clinical services throughout the health system, including hospitals, clinics, behavioral health centers and ambulatory surgery centers. Sets guidelines to meet requirements for Joint Commission Accreditation leading to successful accreditation for all entities within the health system. Develops and maintains a comprehensive accreditation project plan adhering to standards, prioritized interventions and on-going monitoring for compliance as established by Joint Commission for all accreditation requirements. Develops and manages a plan to assure compliance with Centers for Medicare and Medicaid Services (CMS) Conditions of Participation. Coordinates efforts to earn outstanding clinical performance and a positive customer experience as required for accreditation. Coordinates efforts to assure regulatory compliance with standards established by our managed care partners.General Administrative ResponsibilitiesCollective BargainingReview applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposalsParticipate in collective bargaining negotiations, caucus discussions and working meetingsDisciplineDocument, recommend and effectuate discipline at all levelsWork closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining AgreementsInitiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreementsSupervisionDirect and effectuate CCH management policies and practicesAccess and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreementsManagementContribute to the management of CCH staff and CCH' systemic development and successDiscuss and develop CCH system policy and procedureGeneral Administrative Responsibilities continuedConsistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining AgreementsWork with Labor Relations to discern past practice when necessaryTypical DutiesEstablishes guidelines to meet Joint Commission accreditation requirementsDevelops and leads a regulatory survey readiness program in support of the organization's mission, values and business objectivesDevelops and maintains a comprehensive project plan linked to standards with on-going monitoring and reporting to senior managementServes as the System's resource in questions related to accreditation and to CMS standardsWorks with CCHHS senior management and clinical staff in leading and managing all aspects of the accreditation process and standard adherenceCoordinates activities with subject matter experts and unit business ownersConducts training and coaching to support understanding of accreditation standards and requirementsDevelops and maintains plans to assure compliance with regulatory requirements of managed care plansDevelops and manages audit activities to ensure compliance with accreditation standards and develops and maintains a dashboard to demonstrate ongoing complianceFacilitates communication of information among governance committees and serves as liaison on accreditation issues and changing standardsMaintains accreditation and audit document libraryMaintains and updates policy libraryPerforms other duties as they might be assignedReporting RelationshipReports to the Chief Quality Officer
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mgmtrecruit@cookcountyhhs.orgWhen submitting a resume/CV by email, you
must include the job title and posting number in the subject line of your email . An application or resume/CV must be filed for each position which interests you.To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of this posting.Job SummaryUnder the direction of the Chief Quality Officer, directs the strategic management and planning for Joint Commission Accreditation and accreditation related activities for all clinical services throughout the health system, including hospitals, clinics, behavioral health centers and ambulatory surgery centers. Sets guidelines to meet requirements for Joint Commission Accreditation leading to successful accreditation for all entities within the health system. Develops and maintains a comprehensive accreditation project plan adhering to standards, prioritized interventions and on-going monitoring for compliance as established by Joint Commission for all accreditation requirements. Develops and manages a plan to assure compliance with Centers for Medicare and Medicaid Services (CMS) Conditions of Participation. Coordinates efforts to earn outstanding clinical performance and a positive customer experience as required for accreditation. Coordinates efforts to assure regulatory compliance with standards established by our managed care partners.General Administrative ResponsibilitiesCollective BargainingReview applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposalsParticipate in collective bargaining negotiations, caucus discussions and working meetingsDisciplineDocument, recommend and effectuate discipline at all levelsWork closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining AgreementsInitiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreementsSupervisionDirect and effectuate CCH management policies and practicesAccess and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreementsManagementContribute to the management of CCH staff and CCH' systemic development and successDiscuss and develop CCH system policy and procedureGeneral Administrative Responsibilities continuedConsistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining AgreementsWork with Labor Relations to discern past practice when necessaryTypical DutiesEstablishes guidelines to meet Joint Commission accreditation requirementsDevelops and leads a regulatory survey readiness program in support of the organization's mission, values and business objectivesDevelops and maintains a comprehensive project plan linked to standards with on-going monitoring and reporting to senior managementServes as the System's resource in questions related to accreditation and to CMS standardsWorks with CCHHS senior management and clinical staff in leading and managing all aspects of the accreditation process and standard adherenceCoordinates activities with subject matter experts and unit business ownersConducts training and coaching to support understanding of accreditation standards and requirementsDevelops and maintains plans to assure compliance with regulatory requirements of managed care plansDevelops and manages audit activities to ensure compliance with accreditation standards and develops and maintains a dashboard to demonstrate ongoing complianceFacilitates communication of information among governance committees and serves as liaison on accreditation issues and changing standardsMaintains accreditation and audit document libraryMaintains and updates policy libraryPerforms other duties as they might be assignedReporting RelationshipReports to the Chief Quality Officer
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